Citation

Weinrebe W, Moutaouakil A, Risz K, Martin M, Jeckelmann K, Goetz S. Z. Gerontol. 2018; 51(5): 573-578.

Vernacular Title

89 Jahre, Depression, Sturz mit Beckenfraktur, schwerste Verwirrtheit – das serotonerge Syndrom : Differenzialdiagnose, Bedeutung von CYP450 und ökonomische Betrachtungen.

Affiliation

Geriatric Medicine and Rehabilitation, Hopital Fribourgois, Meyriez, 3280, Schweiz.

Copyright

(Copyright © 2018, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00391-017-1230-6

PMID

28421287

Abstract

A case study of an 89-year-old patient is reported, who was admitted to hospital because of immobility due to pain. After the cause of the pain could initially be clarified and treated, the further clinical course in this very old woman showed an alarming symptom complex of agitation, confusion and cognitive deterioration, which took on grave forms. The work-up of this case showed a typical constellation of pain and depression in old age; however, the pharmaceutical treatment in this case is not atypical and could lead to a severe serotonin syndrome. The interaction, diagnostics, differential diagnosis, pharmacological, functional, codification and economic aspects of the course of the disease are discussed.

Language: de

Keywords

Depression; Geriatric patients; Medical side effects; Pain therapy